2012 Ministerial Renewal Form

Please fill out the form and click on submit

First Name:
Last Name:
Address:
City:
State:
Zip:
Country:
Home Phone #:
Mobile Phone #:
E-mail:
Ministry Involvement:
Ministerial Status:
Benevolent Fund Member:
Single: $125.00
Husband/Spouse: $200.00
Missionary: $000.00
Senior: $000.00
Additional information:
For payment of the appropriate fee return to Home Page and click on the Donation button